Location
Address
1654 Gettysvue Way
City, State
Prescott, AZ 86301-6513
Country
USA
FAA Region
Western-Pacific
Medical Certificate
Medical Class
Third Class Medical
Medical Date
April 2005
Medical Expires
April 2007
BasicMed Course
January 21, 2025
BasicMed CMEC
November 7, 2024
Data Source
Data provided by the FAA Airmen Certification Database. AviatorDB provides a searchable interface to FAA airman certification records, making public data accessible and easy to explore.